• Title/Summary/Keyword: Safety of persons

Search Result 373, Processing Time 0.03 seconds

A Systematic Review on the Causative Medicines for Stevens-Johnson Syndrome (스티븐스-존슨증후군을 유발하는 주요 의약품별 위험도에 대한 체계적 문헌고찰)

  • Kwon, Kyoung-Eun;Jung, Sun-Young;Jung, Hyun-Joo;Kim, Bong Gi;Park, Byung-Joo
    • Korean Journal of Clinical Pharmacy
    • /
    • v.23 no.4
    • /
    • pp.344-364
    • /
    • 2013
  • Background: Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are immune-complex-mediated hypersensitivity reactions that predominantly involve skin and mucous membranes. Despite the low incidence, both are considered medical emergencies as the mortality rate has been estimated at 30-50%. Although as many as half of cases are idiopathic, several drugs have been implicated as main cause of SJS/TEN. This review therefore aimed to identify drugs that were potentially associated with SJS/TEN and compare the relative risk of the medications. Method: A comprehensive search was performed using MEDLINE, EMBASE and 5 Korean databases. We defined study drugs as non-steroidal anti-inflammatory drugs (NSAIDs), antibiotics, antiepileptics, and allopurinol. Only epidemiologic studies investigating associations between the above drugs and drug-induced SJS/TEN were included. Two reviewers independently selected and evaluated candidate papers and extracted odds ratios or incidence rates. Meta-analysis was performed only for drugs that were reported from 4 or more studies. Results: We found 8 case-control studies, 3 cohort studies and 1 RCT. The ranges of adjusted ORs were 0.6-34.0 for NSAIDs, 1.6-302.0 for antiepileptics, 0.3-10.0 for antibiotics and 1.0-187.0 for allopurinol. The drug with the highest incidence of SJS/TEN was carbamazepine (40 persons/1,000 DDD). Conclusion: Finally, the risk was highest in first 8 weeks after onset of treatment in all drugs.

Oral History Research and Human Subject Research on Bioethics and Safety Law (구술사 연구와 「생명윤리법」의 인간대상연구)

  • Lee, Hosin
    • Journal of Korean Society of Archives and Records Management
    • /
    • v.17 no.3
    • /
    • pp.1-21
    • /
    • 2017
  • Oral history research is carried out through collecting information about a living person. The data collected from an oral history project is not a mere fact or a mass of information but accounts of persons who reveal their own personalities. For this reason, oral history research and data collection and the use of such data must be based on rigorous ethical standards. The Bioethics and Safety Law shares a similar view on human subject research, and the Institutional Review Boards includes human subject research as a subject of review and management. However, the Bioethics and Safety Law's protection of personalities and human rights focuses on life sciences methodologies, which are not suitable for qualitative research, such as an oral history of a value oriented and critical approach to human beings. This study examines the details of the Bioethics and Safety Law related to human subject research and the problems that may arise when this law is applied to subjects in humanities and social sciences such as oral history. Through this study, alternative methodologies, which can be used for oral history research, while maintaining academic autonomy, are suggested.

The Effects of Injury and Accidents on Self-rated Depression in Male Municipal Firefighters

  • Chung, Yun-Kyung;Park, Chung-Yill
    • Safety and Health at Work
    • /
    • v.2 no.2
    • /
    • pp.158-168
    • /
    • 2011
  • Objectives: The present study aims to determine the causal relationship between self-rated depression and experiences of injury and accidents in municipal firefighters. Methods: A panel survey of 186 municipal firefighters measured with depressive symptoms according to the Beck's depression index (BDI) was conducted. The effects of job-related injuries and accidents were evaluated using self-administered questionnaires that were taken once in a 12-month period from 2005 to 2006. Firefighters were classified into the Depression Group or Control Group based on follow-up BDI results with a cutoff level that was set to having "over mild depression." Results: The depression Group was comprised of 17 (9.1%) workers, including 9 firefighters who met had sufficient BDI scores twice in the 2-year test period and newly sufficient BDI scores in the follow-up test. A significantly higher number of subjects in the Depression Group experienced injuries and accidents in the 2-year test period as compared to the Control Group (15.4% vs. 1.5%, p=0.04). Firefighters who experienced injuries and accidents in the 2-year test period had a 7.4 times higher risk of being in the Depression Group than those who had not. As compared to accidents, near-miss accidents revealed stronger risks related to being classified as in the Depression group (adjusted odds ratio [OR] = 4.58, 95% confidence interval [CI] = 1.15-18.18 vs. Adjusted OR = 4.22, 95% CI = 1.08-16.58). Conclusion: The above results suggest that we should establish an effective program to promote mental health for groups at high risk for self-rated depression, including persons who have experienced consecutive injuries and accidents as well as near-miss injuries.

Manual Development Research for the Diagnosis of the Introduction of Low-Floor Bus (저상버스 도입진단 매뉴얼 개발 연구)

  • Seung jun Lee;Seong yeon Kim;Won Jun Lee;Hyunjun Park;Choul Ki Lee;Nam sun Kim
    • The Journal of The Korea Institute of Intelligent Transport Systems
    • /
    • v.22 no.6
    • /
    • pp.208-222
    • /
    • 2023
  • With the recent revision of 「Act on Promotion of the Transportation Convenience of Mobility Disadvantaged Persons」 and the Enforcement Regulations of the Act, bus business operators must introduce low-floor buses when scrapping buses. On the other hand, in the case of routes where low-floor buses cannot be operated, bus business operators can be exempted from introducing low-floor buses with the approval of their transportation administrative agency according to Article 4-2 of 「Enforcement Regulation of the Act on Promotion of the Transportation Convenience of Mobility Disadvantaged Persons」. According to the data from the Korea Bus Transportation Associations Federation, approximately 5.9% of all city bus routes were surveyed as the exceptions to introducing low-floor buses. Nevertheless the proportion is expected to increase because some regions with difficulties introducing low-floor buses are not included when calculating the proportion. By confirming the process of approving exceptions for introducing low-floor buses through local governments, there was no specific examination method or standard for approval of exceptions. Hence, there is the problem that some routes are approved as exceptions to introducing low-floor buses, even though low-floor buses can be operated on those routes. Therefore, this study aims to develop a manual that can objectively diagnose the overall operation environment of low-floor buses, such as road geometry and road facilities. Future research plans to apply it to more cases and improve it for more precise application in various contexts.

A Study on the Status of the Oral Health for Seafarers (선원들의 구강보건실태에 관한 조사)

  • Kim, Jae-Ho;Jung, In-Sung
    • Journal of the Korean Society of Marine Environment & Safety
    • /
    • v.10 no.2 s.21
    • /
    • pp.7-15
    • /
    • 2004
  • To maintain and improve seafarers oral health, I investigated and analyzed the oral health status of seafarers: who are safety training at Korea Institute of Maritime and Fisheries Technology located in Busan. The results of the investigation and analysis are as follows: Two times of brushing teeth a day occupied $51.0\%$ the largest percentage, mixed brushing method was the highest as $39.0\%$, $64.2\% of respondents have recieved teeth scaling. Two or three of times snack intake per day occupied $62.6\%$ the largest percentage. Based on the objects' answer on oral status, the persons answered that my oral status is 'good' $25.9\%$ 'bad' $38.3\%$ occupied The persons with a decayed tooth occupied $78.1\%$ and as for the subjective symptoms of oral disease, $25.6\%$ of respondents answered that I felt sensitivity. Intraoral discomfortable symptoms in the respect of each age, under forty age had dental decay, over forty age had sensitivity of teeth. The more has a intake snack, the more has an oral disease and oral decayed tooth. As a whole of the above results in order to control oral health of the seafarers reasonably, time and economic limiting factors must be solved in the first. In planning oral health education, practicability should be emphasized especially.

  • PDF

Safety Evaluation of Concert Hall Floor Vibration Using Numerical Analysis Model (수치해석모델을 이용한 콘서트 홀 바닥진동 안전성 평가)

  • Roh, Ji-Eun;Heo, Seok-Jae;Moon, Dae-Ho;Lee, Sang-Hyun;Rha, Chang-Soon
    • Journal of the Computational Structural Engineering Institute of Korea
    • /
    • v.30 no.6
    • /
    • pp.469-477
    • /
    • 2017
  • In this paper, the floor vibration of an example concert hall building was measured and floor safety criteria were analytically checked through comparison between experimental and analytical results. The floor bottom plate model was constructed considering the composite effect and the analytical model was modified to have the natural frequency identical to the measured one. Also, time history analysis was conducted using the dynamic loads induced by human rhythmic movement during a musical performance, and the analytically calculated floor accelerations were similar to the measured one. Based on this model, the floor vibration level due to the group activities of about 400 persons, maximum available persons for the concert hall, was estimated. It was confirmed that the human induced dynamic loads applied to the column and beam would be much lower than the design strength. In addition, the horizontal acceleration level is just 2% of the design seismic load, so the concert hall is safe in both vertical and horizontal excitations by human rhythmic movements.

On the Countermeasure for Preventing the Accident of Cargo Handling in Port (항만하역관할의 원인분석 및 예방대책에 관하여)

  • 박용욱;이철영
    • Journal of the Korean Institute of Navigation
    • /
    • v.17 no.3
    • /
    • pp.57-68
    • /
    • 1993
  • The economy of Korea has grown up significantly in its scale. It has, therefore, become imperative to develop countermeasures to prevent work related injuries and occupational illnesses resultining from haza-rdous working conditions and handling harmful substances. A lot of cargo handling accident in port have occurred due to the characteristics of poor working environment, diversity of working place and method, fluctuation of the amount of cargo and handling of heavy, long, harmful and dangerous cargo, etc. According to '91 industrial accident analysis carried out by the ministry of labour, the number of the stevedores injured by cargo handling accident in port were 1, 432 persons (the death accident : 22 per-sons), the amount of industrial accident compensation in port was 6.7 billion won (the amount of economic loss : 33.6 billion won), and the injury occurance rate of the stevedoring industry was higher than that of the whole industry. This paper, therefore, aims to the actual status of the stevedoring industry and to extract the main cau-ses of the accidents related to cargo handling in port through factor analysis using the data of the accide-nts in the whole habour from 1990 to 1992, and to suggest the countermeasures to prevent such accident. The main causes of the accident and countermeasures are found to be as follows through the factor analy-sis : Factor1, factor2, and factor3 related to a defect of human being and management, a defect of state and environment, and an insufficiency of education and law are extracted. The short-term countermeasures to prevent these accidents are 1) to consolidate the safety and health organization in the working spot, 2) to secure a safe condition in working spot before dock work, 3) to strengthen a dock worker's safety educa-tion. The long-term countermeasures are 1) to promote a decasualisation of dock workers, 2) to modernize the cargo working methods through constructing exclusive pier and introducing exclusive cargo handling equipment, 3) to establish a exclusive dock accident prevention organization and the dock workers law. Factor 4, factor5, factor6, and factor7 related to an unfitness, a deficiency of technical knowledge, a nonfu-lfilment of safety measures, and a bad arrangement are extracted. The countermeasures to prevent these accidents are 1) to perform a complete safety inspection of cargo handling equipments and tools and to carry out the dock work according to a working plan, 2) to publish and supply technical safety books, safety instruction book, safety check list, etc., 3) to strengthen the safety patrol at the working spot in habour and to activate a safety fund, 4) to maintain always a clean workshop with the safety consciousness in which the good arragement of the working spot is considered to be the beginning of safety.

  • PDF

Analysis of Traffic Accident by Circular Intersection Type in Korea Using Count Data Model (가산자료 모형을 이용한 국내 원형교차로 유형별 교통사고 분석)

  • Kim, Tae Yang;Lee, Min Yeong;Park, Byung Ho
    • Journal of the Korean Society of Safety
    • /
    • v.32 no.5
    • /
    • pp.129-134
    • /
    • 2017
  • This study aims to develop the traffic accident models by circular intersection type using count data model. The number of accident, the number of fatal and injured persons(FSI), and EPDO are calculated from the traffic accident data of TAAS. The circular intersection accident models are developed through Poisson and negative binomial regression analysis. The main results of this study are as follows. First, the null hypotheses that there are differences in the number of traffic accidents, FSI and EPDO by type of circular intersections are rejected. Second, the scale of intersection(median, large), number of approach road, mean width and length of exit road, area of the circulating roadway and central island are selected as factors influencing the number of traffic accidents, FSI and EPDO in rotary. Third, the scale of intersection(median), guide signs(limited speed, direction, roundabout), number of approach road, entry angle, area of the intersection and central island are adopted as factors influencing the number of traffic accidents, FSI and EPDO in roundabout. Finally, transferring from rotary to roundabout could be expected to make the accident decrease.

A Study on the Improvement of On-board Training Program through the Analysis of Satisfaction Level

  • Kim, Hong-Ryeol;Kim, Bu-Gi
    • Journal of the Korean Society of Marine Environment & Safety
    • /
    • v.19 no.3
    • /
    • pp.270-276
    • /
    • 2013
  • The educational process and result of onboard training should be evaluated according to the 1995 Amendments to the International Convention on Standards of Training, Certification and Watch-keeping for seafarers(STCW), 1978. In particular, the revised Convention requires that a trainee's seagoing service must be recorded in each cadet's Training Record Book approved by the maritime administration responsible for the issuance of certificates of competency. Trainees for certification under regulation III/1 of the STCW Convention are required to complete an approved on-board training programme. The purpose of this paper is to understand the compliance of the education for an approved on-board training programme. The questionnaire was distributed among 110 cadets being trained on board the training ship of the maritime college of the Mokpo National Maritime University. In this study, we conducted the questionnaire survey which is related to the on-board training programme such as marine engineering; controlling the operation of the ship and care for persons on board; electrical, electronic and control engineering; etc. The survey revealed that onboard training program was normally satisfactory, however, lack of practical training tools and time have accounted for most of the reasons for dissatisfaction. Therefore, it is our goal to enhance the satisfactory value of onboard training education by analyzing the reason of the dissatisfaction.

Measures against Security Safety and Hallucinogenic Drug Crimes (환각성 약물범죄와 경호안전상의 대응방안)

  • Jeon, Kyung-Soo
    • Korean Security Journal
    • /
    • no.2
    • /
    • pp.211-226
    • /
    • 1999
  • Troublesome problems are being caused by hallucinogenic drugs which come not only from illegal narcotics but also from unprohibited general drug-kinds such as cough-remedy agents of textromerupan, namely, Lamina, Rubi-king and the likes. Abuse and misuse of narcotics permeated into and threatens mental health of socially-known peoples, actor, actress, talents and businessmen as well. This study especially dealt with problems related with Mesampetamin, Rurajaepam, Texstrometropan and Karisofrodol which affects mental behaviour, and considered counter-measures through analysis and developed appropriate system of goods circulation for guidance to be complied by the medicine professionalists. The guidance sought here is recommended to the government ministries for further enforcement of crack-down of the drug crimes. Arquesa in method is recommend as a method of identifying behaviors and facial expressions of abusers and misusers of narcotics at the spot in place. This study is directed to curtailing hallucinogenic drugs use for absolute preventive security by detecting out black dealers of narcotics supplying to the abusers and misusers. There is a need of special education program to cut off the flow of narcotics or drugs crimes into official security force as well as private security personnel. This study introduced a priority and emphasis of real augmentation to theory and practice of the modern scientific security which can protect the mental health of the guarded persons as well especially in the light of security safety curriculum at the school.

  • PDF